| NPI | 1386994721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1251080) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 0353451) |
| 225100000X Physical Therapist (Licence: SC 7172) | |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2014-12-02 |